论文部分内容阅读
患者女,17岁。反复发热、咳嗽、咳痰10多年加重1周。体检:双侧鼻腔黏膜充血,右中鼻甲息肉样变,嗅裂处可见黏液样分泌物,双外耳道正常,鼓膜正常,听力减退。两肺呼吸音粗,两肺可闻及干性啰音,第5肋间右锁骨中线内侧可闻及心音最响,节律整齐,各瓣膜听诊区未闻及杂音。心电图示:右
Female patient, 17 years old. Repeated fever, cough, sputum aggravate more than 10 years 1 week. Physical examination: bilateral nasal mucosal hyperemia, right middle turbinate polypoid change, visible mucinous secretions at the olfactory fissure, normal external ear canal, normal eardrum, hearing loss. Breath sounds rough two lungs, both lungs can be heard and dry rales, 5 intercostal medial midline of the right clavicle can be heard and heart sound the loudest rhythm, the valve auscultation area did not smell and noise. ECG shows: right